NPI | 1326578592 |
---|---|
Former Name | VICTORIA MARIE KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201011177) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-06-19 |
Last Update Date | 2021-04-23 |